Breathing Association Lung Health Clinic, Llc | |
741 E Broad St Columbus OH 43205-1001 | |
(614) 457-4570 | |
(614) 457-3777 |
Full Name | Breathing Association Lung Health Clinic, Llc |
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Speciality | Clinic/Center |
Location | 741 E Broad St, Columbus, Ohio |
Authorized Official Name and Position | Roy C Stjohn (CHIEF MEDICAL OFFICE) |
Authorized Official Contact | 6144574570 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Breathing Association Lung Health Clinic, Llc 741 E Broad St Columbus OH 43205-1001 Ph: (614) 457-4570 | Breathing Association Lung Health Clinic, Llc 741 E Broad St Columbus OH 43205-1001 Ph: (614) 457-4570 |
NPI Number | 1912234287 |
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Provider Enumeration Date | 11/07/2009 |
Last Update Date | 06/20/2024 |
Medicare PECOS PAC ID | 0648305862 |
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Medicare Enrollment ID | O20100312000764 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912234287 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Iyaad Hasan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881794188 PECOS PAC ID: 9335192103 Enrollment ID: I20050222000502 |
Provider Name | Roy C St John |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1558348839 PECOS PAC ID: 2163444134 Enrollment ID: I20100430000262 |
Provider Name | Alisha Hopkins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013380120 PECOS PAC ID: 3375844723 Enrollment ID: I20151209001406 |
Provider Name | Peter O'mathuna |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205523685 PECOS PAC ID: 2769846435 Enrollment ID: I20230913003233 |
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